Written by: Ken Estrellas
Month / March 2020
Overcoming barriers: How Zika virus gets to the brain
Written By: Rebecca Tweedell
The Gist of It:
In 2015 and 2016, the world was closely following the outbreak of a mosquito-borne virus called Zika. While these outbreaks have since faded from the forefront, with very few if any cases being detected currently, there are still a lot of unknowns about this virus. One thing we do know is that Zika virus can cause fetal microcephaly, or swelling of the brain in unborn babies. To do this, the virus must somehow be able to get to the brain. This is especially challenging because there are 2 key lines of defense working to keep viruses out, the placenta and the blood-brain barrier. The placenta is formed during pregnancy and allows oxygen and nutrients to be passed from the mother to the baby while blocking the passage of toxic materials and viruses. The blood-brain barrier exists in both babies and adults and serves as the boundary to keep the circulating blood (and any bad things that might be circulating with it) away from the brain. Since we know that the virus can get into the brain, we know these barriers must be failing, but how this happens is still a big question. Researchers at National Yang-Ming University in Taiwan recently took a major step toward solving this mystery. They studied how the virus passed through placental barrier cells and brain-derived barrier cells in the lab. They discovered that the virus actually crosses these barriers in different ways. Zika virus disrupted the ability of the placental cells to form strong junctions between themselves, weakening the physical structure of the barrier. This was not the case with the brain-derived cells, which maintained the physical structure of the barrier in spite of the virus. But the virus was still able to move through both types of barriers by going directly through the cells through a process known as transcytosis (which literally means being transported across the interior of the cell). Excitingly, blocking transcytosis with inhibitors was able to keep Zika virus from getting through the barriers. Understanding how the virus is able to get through these barriers is important for being able to stop it, and this study helped us take a big step in the right direction.
The Nitty Gritty:
Chiu et al. used the human placenta trophoblast cells JEG-3 and human brain-derived endothelial cells hCMEC/D3 to create an in vitro model to study interactions with Zika virus. They found that Zika virus could infect both of these cell types when the cells were grown in a monolayer. Using a transwell barrier assay, with a monolayer of JEG-3 or hCMEC/D3 cells in the insert and Vero cells in the bottom chamber, the researchers found that Zika virus was able to pass through the barrier formed by the cells, moving from the portion of the well above the JEG-3 or hCMEC/D3 cells to infect the Vero cells below. When passing through the JEG-3 placental cells, Zika virus damaged the integrity of the membrane, allowing FITC-dextran to pass through. However, this did not occur with the hCMEC/D3 cells. This was likely due to tight junction disruption; the researchers found that the expression of ZO-1 and occludin was decreased in JEG-3 cells following exposure to Zika virus, while this did not occur in hCMEC/D3 cells. After treatment with a proteasome inhibitor MG132, the expression of ZO-1 and occludin was rescued, suggesting that the disruption of tight junctions occurs through the proteasomal degradation pathway. Finally, the authors sought to understand whether Zika virus can use transcytosis to traverse the placental and brain-derived barrier cells. Using a fluorescently labeled virus, they measured the fluorescence in the basal chamber of a transwell following culture of the virus with the monolayer barrier in the insert at 4°C and 37°C, as transcytosis is inhibited at 4°C. They found that the amount of virus that traversed the barrier at 4°C was significantly reduced compared to the amount that traversed at 37°C, while there was no difference in the amount of FITC-dextran that could traverse. Based on the finding that the virus is able to traverse the cells by transcytosis, the authors tried to block the virus using inhibitors of endocytosis and intracellular trafficking (Nystatin, chlorpromazine, dimethyl amiloride, and colchicine). Each inhibitor reduced the amount of virus that made it through the monolayer barrier. Overall, Chiu et al. found that Zika virus crosses placental and brain-derived barrier cells in culture by transcytosis and that the virus disrupts the integrity of tight junctions to weaken the placental cell barrier in the transwell system. These findings pave the way for discovering ways to inhibit viral traversal and prevent fetal infection and encephalitis.
Original Research Article: Chiu, C.-F., et al. “The mechanism of the Zika virus crossing the placental barrier and the blood-brain barrier.” Front Microbiol (2020).
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Written By: Kaitlyn Sadtler